Organization Active NPI

Cholla Behavioral Health LLC

  • Substance Abuse Rehabilitation Facility
  • Phoenix, AZ
National Provider Identifier
1982566584
Registry record updated Apr 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
CHOLLA BEHAVIORAL HEALTH LLC
Practice address
5924 W Hedgehog PL
Phoenix, AZ 85083-6558
Phone
(602) 686-5779
NPI assigned
Dec 2, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Jericho Chebultz
Title
Owner
Phone
(602) 686-5779

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X
Substance Abuse Rehabilitation Facility 324500000X Primary

Addresses

Primary practice location

5924 W Hedgehog PL
Phoenix, AZ 85083-6558

Mailing address

9201 N 25TH Ave Ste 185
Phoenix, AZ 85021-2717
Phone (602) 686-5779

National Provider Directory

National Provider Directory
Tax ID family
Cholla Behavioral Health2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

9201 N 25th Ave
Ste 185
Phoenix, AZ 85021
Phone (602) 686-5779

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1764633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776729600000",
    "number": "1982566584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9201 N 25TH AVE STE 185",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850212717",
            "telephone_number": "602-686-5779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5924 W HEDGEHOG PL",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850836558",
            "telephone_number": "602-686-5779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHOLLA BEHAVIORAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-12-02",
        "last_updated": "2026-04-21",
        "certification_date": "2026-04-21",
        "status": "A",
        "authorized_official_last_name": "CHEBULTZ",
        "authorized_official_first_name": "JERICHO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "602-686-5779"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.